Absher Scott W 4

Accession 0001104659-22-097593

CIK 0001675634other

View on SEC.gov Company Profile

Filed

Sep 1, 8:00 PM ET

Accepted

Sep 2, 6:38 PM ET

Size

18.5 KB

Accession

0001104659-22-097593

Insider Transaction Report

Form 4

Period: 2022-09-01

ShiftPixy, Inc.PIXY

Absher Scott W

DirectorChief Executive Officer10% Owner

Transactions

Exercise/Conversion
Preferred Class A Stock, par value $0.0001 per share
2022-09-01$410.00/sh+4,100,000$1,681,000,000→ 8,600,000 total
→ Common Stock par value $0.0001 per share (4,100,000 underlying)
Exercise/Conversion
Preferred Class A Stock, par value $0.0001 per share
2022-09-01−4,500,000→ 0 total
Exercise: $0.00→ Common Stock par value $0.0001 per share (4,500,000 underlying)
Exercise/Conversion
Common Stock, Par Value $0.0001 Per Share
2022-09-01$410.00/sh+4,100,000$1,681,000,000→ 4,108,125 total
Exercise/Conversion
Option for Preferred Class A Stock par value $0.0001/share
2022-09-01$820793.24/sh−1$820,793→ 0 total
Exercise: $410.00→ Preferred Class A Stock par value $0.0001 per share (4,100,000 underlying)
Exercise/Conversion
Common Stock, Par Value $0.0001 Per Share
2022-09-01+4,500,000→ 8,608,125 total
Exercise/Conversion
Preferred Class A Stock, par value $0.0001 per share
2022-09-01$410.00/sh−4,100,000$1,681,000,000→ 4,500,000 total
Exercise: $0.00→ Common Stock par value $0.0001 per share (4,100,000 underlying)

Footnotes (17)

[F1]Reporting Person received 4,100,000 shares of Common Stock upon the conversion of 4,100,000 shares of Preferred Class A Stock.
[F10]The option was acquired when the Reporting Person waived claims to deferred, bonus and paid time off compensation due to him by the Issuer in the amount of $820,793.24.
[F11]The Reporting Person paid a total of $410 to exercise an option to obtain the 4,100,000 shares of Preferred Class A Stock. The price excludes amounts paid to obtain the option. There is no additional cost to convert the shares of Preferred Class A Stock to Common Stock.
[F12]The Reporting Person acquired the 4,100,000 shares of Preferred Class A Stock, upon the exercise of an option.
[F13]The shares of Preferred Class A Stock, are convertible to Common Stock at any time.
[F14]There was no expiration date on the ability of the Reporting Person to convert the shares of Preferred Class A Stock, to Common Stock.
[F15]No price was required to be paid to convert the shares of Preferred Class A Stock to shares of Common Stock.
[F16]The Reporting Person converted 4,100,000 shares of Preferred Class A Stock, to 4,100,000 shares of Common Stock. See Note 1.
[F17]As previously reported, the Reporting Person surrendered an option to acquire 12,500,000 shares of Preferred Class A Stock and tendered additional sum of $5,000 in exchange for the issuance to the Reporting Person of 12,500,000 shares of Preferred Class A Stock. The Reporting Person thereafter converted 8,000,000 shares of the Preferred Class A Stock to Common Stock, leaving 4,500,000 shares of Preferred Class A Stock. In this transaction, the Reporting Person converted the remaining 4,500,000 shares of Preferred Class A Stock to 4,500,000 shares of Common Stock.
[F2]Price reflects amount paid at conversion, but excludes amounts paid to acquire shares of Preferred Class A Stock.
[F3]Reporting Person received 4,500,000 shares of Common Stock upon the conversion of 4,500,000 shares of Preferred Class A Stock.
[F4]There was no cost to effect conversion, but price excludes amounts paid to acquire shares of Preferred Class A Stock.
[F5]The option was exercisable at the par value price for the shares of Preferred Class A Stock; however, the price excludes amounts paid to acquire the option, which is listed in column 8.
[F6]The Reporting Person exercised the option to receive 4,100,000 shares of Preferred Class A Stock.
[F7]Only a single option instrument provided for the exercise and the right to receive the shares.
[F8]The option was exercisable at any time following its issuance.
[F9]There was no expiration date on the option.

Documents

1 file

4
tm2225039-1_4seq1.xmlPrimary
OWNERSHIP DOCUMENT

Issuer

ShiftPixy, Inc.

CIK 0001675634

→

Entity typeother

Related Parties

filerCIK 0001289144

Filing Metadata

Form type: 4
Filed: Sep 1, 8:00 PM ET
Accepted: Sep 2, 6:38 PM ET
Size: 18.5 KB

View on SEC.gov